DAWN E SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201103

License Status

NOT RENEWED

Business

First Name

DAWN E

Last Name

SHORT

Business Name

DAWN E SHORT

Original Issue Date

10/18/2010

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/06/2013